| Payment ID | 24055 |
|---|---|
| Date Created | 04/25/23 2:10 pm |
| Created By | Gloria Jimenez |
| Service Request | 21846 |
| Application ID | 19752 |
| Authorization Number | |
| Applicant Information | |
| Name | Dacia Leger |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801388 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Al’s Moving Company |
| Contact Name | Al’s Moving Company |
| Contact Email | Email hidden; Javascript is required. |
| Move From Address | 1429 Herring Avenue Waco, Texas 76708 Map It |
| Move To Address | 1912 Howard Waco, Texas 76711 Map It |
| Payment Details | |
| Payment Amount | $400.00 |
| Receipt Amount | $550.00 |
| Receipt Date | 04/24/2023 |
| Comments | moving fee from Al's moving company |
| Receipt | 24-04-2023Leger550.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/25/2023 |
